Download Dry Cough • Chest Congestion • Coughing Fits

Information for Healthcare Professionals
COUGH
Dry Cough
• Chest Congestion • Coughing Fits
The two types of cough, productive (wet cough) and non-productive (dry, spasmodic cough), require
different types of treatment. A productive cough should not be suppressed, as it promotes expectoration of
phlegm from the air ducts. A dry, fitful cough can be tiresome and prevent rest at night.
Chestal® and Children’s Chestal® alleviate both types of cough through the relief of tracheal irritation
causing dry cough, and facilitating the expectoration of thick mucus in productive cough.
The syrup provides an emollient action, and the pasteurized honey adds its
natural cough-relieving properties and a pleasant taste.
Chestal and Children’s Chestal are over-the-counter homeopathic medicines that have no side effects such
as drowsiness and are non-habit-forming. They can be used by patients taking other medications.
Children’s Chestal can be safely recommended for children 2 years of age and older.
As a first-line treatment for cough, Chestal offers many advantages:
• Safe and simple solution for all types of cough
• Doesn’t mask symptoms that could lead to an early diagnosis of a more serious problem
• The syrup base is emollient and the filtered honey soothes dry cough
Product
How it Works
Advantages
Side Effects / Disadvantages
Chestal and Children’s
Chestal
Homeopathic symptom
specific activity on different
types of cough: dry,
spasmodic, productive.
Emollient action of the
syrup, cough-relieving
properties of the pasteurized
honey
Non-habit-forming; safe for
children 2 years of age and older,
the elderly, and patients being
treated for concomitant conditions
None known
Guaifenesin
Expectorant; reduces the
viscosity of secretions
Well-tolerated
Doesn’t relieve dry or spasmodic
cough; combination with cough
suppressant is controversial
Codeine Sulfate
Cough suppressant
Fast-acting
Low dosage efficacy is being disputed; sedative; not indicated in
productive cough; may cause
constipation in high doses; may
mask the cause of cough
Dextromethorphan
Cough suppressant
Non-habit-forming;
fast and lasting action when
given at the appropriate dosage
Not indicated in productive cough;
contraindicated in patients with
risk of respiratory failure; overdose induces CNS depression;
may mask the cause of cough
Increases mucus production
Traditionally used in teas or
herbal preparations as
natural self-medication
Increases blood pressure; may
induce hemostatic disorders;
many contraindications (hepatic or
renal impairment, high blood pressure, arrhythmia, etc.)
Herbs
Licorice
(Glycyrrhiza glabra)
Pharmacology
Chestal and Children’s Chestal combine homeopathic medicines, manufactured according to the Homeopathic Pharmacopoeia
of the United States guidelines, and using the highest standards of production and quality control.
Indications for homeopathic medicines have been determined experimentally and verified by years of empirical use by thousands of
physicians. As our knowledge of biochemistry and pharmacology progresses, more and more of these indications finally make sense.
This table shows the relationships between the toxicopharmacological properties of the strain (in yellow) and the indications of its
homeopathic dilutions (in orange).
Chestal and Children’s Chestal should be used for their labeled indications.
MEDICINES FOR DRY COUGH
Bryony (Cucurbitaceae)
Bryonia alba L.
Roasted sponge (Spongidae)
Euspongia officinalis L.
Cucurbitacin glycosides: cytotoxic
effects, irritation of mucous and serous
membranes with intense dryness and
inflammation.
Iodine, bromine and silica: Burning and constriction
of the pharynx and larynx, with dry croupy cough.
Tree Lungwort (Lobariaceae)
Sticta pulmonacea Ach.
Mucilages, tannins, stictinic and norstictinic
acids: expectorants, anti-inflammatory.
Traditionally used for cough and bronchitis.
Spongia tosta 3C
Bryonia alba 3C
Dry, painful cough worsened by the
slightest movement.
Sticta pulmonaria 3C
Dry croupy and barking cough, worse at night,
with dyspnea.
Dry, irritant, hacking cough worse at night.
MEDICINES FOR SPASMODIC COUGH
Cochineal (Coccidae)
Dactylopius coccus Costa
Carmine acid, myristin. The
powder provokes an irritation of
the respiratory mucosa, fits of
coughing followed by thready
mucus.
Coccus cacti 3C
Spasmodic cough with
laryngeal tickling.
Sundew (Droseraceae)
Drosera rotundifolia L.
Proteases, naphtoquinones:
Laryngeal and tracheal irritation
causing suffocating, spasmodic
cough with gasping for breath.
Drosera rotundifolia 3C
Barking fitful cough worse at
night and when lying down.
Ipecac (Rubiaceae)
Cephaelis ipecacuanha
Yellow Dock (Polygonaceae)
Rumex crispus L.
Emetine: emetic action.
Cephaeline: expectorant. Inhalation of
the powder triggers bronchospasm.
Anthracenic derivatives: spasmodic,
violent cough worsened by inhaling
cold air.
Ipecacuanha 3C
Rumex crispus 6C
Spasmodic cough associated with
nausea.
Dry and fitful cough triggered by
inhaling cold air or by tickling of
supra-sternal notch.
MEDICINES FOR PRODUCTIVE COUGH
Antimony potassium tartrate
C3H4O3 (SbO2 )-COOK, 1/2 H2O
Diluted emetic tartar was used as an expectorant.
Ingestion activates pneumogastric area and
secretion of mucus.
Antimonium tartaricum 6C
Wet cough with thick mucus difficult to expectorate,
dsypnea.
Wind Flower (Ranunculaceae)
Pulsatilla vulgaris Mill.
Ranunculoside, quickly hydrolyzed into anemonin:
inflammation of mucous membrane with abundant,
non-irritant, thick yellow discharge. Loose cough in the
day with thick mucus.
Pulsatilla 6C
Cough dry at night, becoming wet during the day,
with thick yellowish mucus.
Homeopathic medicines are manufactured and marketed in the U.S. under the regulatory authority of the
Food and Drug Administration.4
References used to prepare this document:
1. Demarque D., MD, et al. Pharmacology and Homeopathic Materia Medica. Ed. CEDH.
2. Martindale 30th edition. The Pharmaceutical Press, London, UK.
3. PDR for Herbal Medicines 3rd Edition. Thomson PD.R
4. U.S. Food and Drug Administration. Sec. 400.400 Conditions under which homeopathic
drugs may be marked (CPG7132.15). Available at:
www.fda.gov/ora/compliance_ref/cpg/cpgdrg/cpg400-400.html.
5. Chevallier A. The Encyclopedia of Medicinal Plants. Ed DK Publishing. 1996
Chestal available in
8.45 fl. oz. (250 mL) and 4.2 fl. oz. (125 mL)
Children’s Chestal available in
8.45 fl. oz. (250 mL) and 4.2 fl. oz. (125 mL)
DRUG FACTS
ACTIVE INGREDIENTS
PURPOSES
(Chestal and Children’s Chestal have identical formulas)
Antimonium tartaricum 6C HPUS:
Bryonia alba 3C HPUS:
Coccus cacti 3C HPUS:
Drosera rotundifolia 3C HPUS:
Ipecacuanha 3C HPUS:
Pulsatilla 6C HPUS:
Rumex crispus 6C HPUS:
Spongia tosta 3C HPUS:
Sticta pulmonaria 3C HPUS:
Helps loosen thick mucus
Relieves dry and painful cough
Relieves cough associated with a tickling in the throat
Relieves barking cough worse at night
Relieves cough associated with nausea
Relieves wet cough during the day becoming dry at night
Relieves dry cough triggered by cold air
Relieves dry, croupy and barking cough
Relieves nighttime hacking cough
The letters “HPUS” indicate that these ingredients are officially
included in the Homeopathic Pharmacopoeia of the United States.4
INACTIVE INGREDIENTS
WARNINGS
Citric Acid, Honey, Purified Water,
Sodium Benzoate, Sucrose
Do not use if seal at base of cap is broken or missing
USES
• Temporarily relieves cough due to minor throat and
bronchial irritation as may occur with a cold.
• Helps loosen phlegm (mucus) and thin bronchial
secretions to make coughs more productive.
DIRECTIONS
Adults and Children 12 years and over
2 teaspoons every 2 hours.
Children 2 to 12 years
1 teaspoon every 2 hours.
Children under 2 years
Not recommended.
I0478-MD-rev. 12/09
OTHER INFORMATION
• Store at 68-77°C (20-25°C)
• Contains 4.2 g of sugars per 5 mL teaspoon
• Contains 0.001% alcohol
Ask a doctor before use if you have
• Cough that occurs with too much phlegm (mucus)
• Cough that lasts or is chronic such as occurs with smoking,
asthma, chronic bronchitis or emphysema
Stop use and ask a doctor if cough lasts for more than 7 days,
comes back, or is accompanied by fever, rash, or a persistent
headache. These could be signs of a serious condition.
If pregnant or breast-feeding, ask a health professional
before use.
Keep out of reach of children.
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